晚期妊娠储存式自体输血的护理

[目的]探究确保晚期妊娠储存式自体输血安全性的护理措施。[方法]对2010年1月至2011年11月的52例晚期妊娠孕妇进行储存式自体输血，采取产前监护、心理护理、健康教育、采血前后护理、监护和自血回输等一系列护理方式。记录采血过程孕妇配合、母胎反应，孕妇生命体征、分娩结局及自体输血量等，观察临床护理效果。[结果]52例孕妇在采血过程中均配合良好，生命体征正常且稳定，胎心监护正常，其中1例胎动过多，予吸氧、左侧卧位后好转。在自血回输过程中，产妇无不适反应，母婴安全。[结论]通过有效的护理措施，孕妇的储存式自体输血是相对安全、经济、有效的输血方式，可以取得良好的临床护理效果，有利于提高产科护理质量。

Care of Preoperative Autologous Blood Donation in Late Pregnancy

[Objective] To ensure the safety of preoperative autologous blood donation in late pregnancy through a series of nursing measures. [Methods]From January 2010 to November 2011, 52 cases of pregnant women in late pregnancy took storage autotransfusion. After prenatal guardianship, psychological care, health education, blood were collected before and after care, custody and from the blood transfusion care; record blood collection process pregnant women with maternal-fetal reaction, the vital signs of pregnant women, birth outcomes, since the amount of allogeneic blood transfusion, and achieve satisfactory re- sults.[Results] 52 cases of pregnant women with the blood collection process were good, normal, with stable vital signs, abnormal fetal heart rate monitoring, one case of fetal moved too much, given the oxygen, improved with the left lateral decubitus position. In the process of self-blood transfusion, there＇s no ma- ternal discomfort, but with safe motherhood. [Conclusion] Effective care measures and storage of a pregnant woman autologous transfusion are relatively safe, economical and effective in the transfusion way, achieve good results, and help to improve the quality of obstetric care.